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| Effects of rational emotive therapy combined with music intervention on postoperative fear, self-esteem and sleep quality in patients with abdominal aortic aneurysm |
| YAO Honglu1 WANG Haiyang2 SUN Hui1 |
| 1.Department of Outpatient Operating Room, Qunli Branch, the First Affiliated Hospital of Harbin Medical University, Heilongjiang Province, Harbin 150001, China; 2.Department of Vascular Interventional Surgery, the First Affiliated Hospital of Harbin Medical University, Heilongjiang Province, Harbin 150001, China |
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Abstract Objective To explore and analyze the effects of rational emotive therapy combined with music intervention on postoperative fear mood, self-esteem status and sleep quality of patients with abdominal aortic aneurysm. Methods Eighty cases of abdominal aortic aneurysm surgery patients admitted to the First Affiliated Hospital of Harbin Medical University (“our hospital” for short) from July 2014 to April 2018 were selected, all the patients were divided into control group and observation group by random number table method, with 40 cases in each group. The control group was given the routine medical intervention after operation, and the observation group was given the rational emotional therapy combined with music intervention on the basic of the control group. The postoperative fear, self-esteem, sleep quality changes and patients′ satisfaction were compared between the two groups. Results Compared with before intervention, the scores of fear visual analogue scale (FAVS) in the two groups were decreased after intervention, and the FAVS scores in the observation group were lower than those of the control group after intervention, the differences were statistically significant (P ＜ 0.05). Compared with before intervention, the scores of behavioral self-esteem, social self-esteem and external self-esteem in the observation group were all increased after intervention, and the scores of indicators above in the observation group were higher than those of control group, the differences were statistically significant (P ＜ 0.05). After intervention, the scores of sleep time, sleep disorder, time of falling asleep, sleep efficiency, daytime function and sleeping drugs in the two groups were lower than those before intervention, and the scores of the observation group were lower than those of the control group after intervention, the differences were statistically significant (P ＜ 0.05). The degree of satisfaction in the observation group was higher than that of the control group, the difference was statistically significant (P ＜ 0.05). Conclusion Rational emotive therapy combined with music intervention can improve the postoperative fear and self-esteem of patients with abdominal aortic aneurysm, and enhance the sleep quality and satisfaction of patients.
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